Active NPI
Mark Vincent Johnson, M.D.
- Diagnostic Radiology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 21483
- Practice address
- 3719 Dauphin St
Mobile, AL 36608-1753 - Phone
- (251) 340-7786
- Fax
- (251) 461-2030
- NPI assigned
- Jun 12, 2006
- Last updated
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 21483 | AL | Primary |
Addresses
Primary practice location
3719 Dauphin St
Mobile, AL 36608-1753
Mailing address
3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 340-7786
Other practice location 1
140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Tennessee, HSC, College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boa Vida Hospital of Aberdeen Ms LLC
Practice addresses (Care Compare)
1202 Office Park Dr
Suite a
Oxford, MS 38655-5267
Phone (662) 234-5545
1207 Hwy 182 W
Suite a
Starkville, MS 39759-9013
Phone (662) 320-6800
17550 E Main St
Louisville, MS 39339-2772
Phone (662) 773-6211
3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 460-0326
400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455
401 Getwell Dr
Senatobia, MS 38668-2213
Phone (662) 612-0311
8 Hathaway Rd S
Mobile, AL 36608-1948
Phone (662) 842-1758
830 S Gloster St
Radiology Consultants
Tupelo, MS 38801-4934
Phone (662) 377-3000
Hospital & facility affiliations
- Springhill Medical Center
- North Mississippi Medical Center
- Webster General Hospital/ Swing Bed
- Tishomingo Health Services Inc
- Mobile Infirmary Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.72 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 75.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21483 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Baptist Memorial Hospital-Calhoun Inc | Current | Accepting new patients | |
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Tate County Hospital | Current | Accepting new patients | |
| Winston County Medical Foundation | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms LLC | Current | Accepting new patients | |
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| Tate County Hospital | Current | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Current | Accepting new patients | |
| Imaging Centers for Excellence, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wave Diagnostics LLC | Current | Accepting new patients | |
| Springhill Diagnostic Radiologists, P.C. | Current | Accepting new patients | |
| Oxford Pre Op & Imaging Center LLC | Current | Accepting new patients | |
| Baptist Memorial Hospital-Calhoun Inc | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Memorial Hospital - Calhoun, Inc | Past | Accepting new patients | |
| Boa Vida Hospital of Aberdeen, Ms, LLC | Past | Accepting new patients | |
| Amory Primary Medicine Clinic | Past | Accepting new patients | |
| Medplus Urgent Clinic LLC | Past | Accepting new patients |
Locations
1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200
3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000
202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200
400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455
8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
1107 Earl Frye Blvd
Ste 6
Amory, MS 38821
Phone (601) 256-9327
112 Medical Arts Dr
Calhoun City, MS 38916
Phone (662) 628-1274
17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072
1202 Office Park Dr
Ste A
Oxford, MS 38655
Phone (662) 234-5545
3509 Highway 4 W
Sarah, MS 38665
Phone (662) 612-0311
401 Getwell Dr
Senatobia, MS 38668
Phone (662) 562-3100
140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611
1207 Highway 182 W
Ste A
Starkville, MS 39759
Phone (662) 320-6800
620 Crossover Rd
Tupelo, MS 38801
Phone (662) 620-7101
620 Crossover Rd
#A
Tupelo, MS 38801
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
891 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-6800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBJABD
- mark.johnson.1@15070.direct.athenahealth.com
- markjohnson@nmhs.medalliesdirect.net
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Mobile, AL
- NPI 1740262476
-
dba Premier Imaging
- Radiology Clinic/Center
- Starkville, MS
- NPI 1730281148
Diagnostic Radiology
-
- Radiology Clinic/Center
- Oxford, MS
- NPI 1750646436
-
dba Highland Hills Medical Associates
- Rural Health Clinic/Center
- Senatobia, MS
- NPI 1285331298
-
dba Winston Medical Center
- General Acute Care Hospital
- Louisville, MS
- NPI 1316078108
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Critical Access Hospital
- Calhoun City, MS
- NPI 1881142461
-
- Critical Access Hospital
- Aberdeen, MS
- NPI 1285164046
-
dba Monroe Regional Hospital
- Multi-Specialty Clinic/Center
- Aberdeen, MS
- NPI 1710405741
-
dba Choctaw Medical Clinic of Ackerman
- Family Medicine Physician
- Ackerman, MS
- NPI 1235547878
-
- Medicare Defined Swing Bed Hospital Unit
- Calhoun City, MS
- NPI 1144776329
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
dba Tishomingo Co Hospital
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
-
dba Webster General Hospital
- General Acute Care Hospital
- Eupora, MS
- NPI 1982719621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1740222587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081753",
"telephone_number": "251-340-7786",
"fax_number": "251-461-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081753",
"telephone_number": "251-340-7786",
"fax_number": "251-461-2030"
}
],
"practiceLocations": [
{
"address_1": "140 Burke Calhoun City Rd",
"address_purpose": "LOCATION",
"city": "Calhoun City",
"state": "MS",
"postal_code": "389169690",
"country_code": "US",
"telephone_number": "662-628-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARK",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "21483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.